Treatment of urethra lesion at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$824.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,268.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$144.87 with Blue Cross vs $7,916.58 with AVMED — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Blue Cross | BlueSelect | $144.87 | ↓ -82% |
| Blue Cross | Health Options | $144.87 | ↓ -82% |
| Blue Cross | Network Blue | $174.70 | ↓ -79% |
| Freedom Health | Managed Medicaid | $177.20 | ↓ -79% |
| Blue Cross | Perferred Patient Care | $180.38 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $180.38 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $182.52 | ↓ -78% |
| United | Medicare Advantage | $184.35 | ↓ -78% |
| Avmed | Medicare Advantage | $184.35 | ↓ -78% |
| Miami Childrens Health Plan | Medicare Advantage | $184.35 | ↓ -78% |
| Blue Cross | Medicare Advantage HMO | $184.35 | ↓ -78% |
| Blue Cross | Medicare Advantage PPO | $184.35 | ↓ -78% |
| Molina | Florida Kidcare | $186.06 | ↓ -77% |
| Molina | Managed Medicaid | $186.06 | ↓ -77% |
| Miami Childrens Health Plan | Managed Medicaid | $186.06 | ↓ -77% |
| Sunshine Health | Managed Medicaid | $186.06 | ↓ -77% |
| Careplus | Medicare Advantage | $193.57 | ↓ -77% |
| Freedom Health | Medicare Advantage | $193.57 | ↓ -77% |
| Clear Spring Health | All Products | $199.10 | ↓ -76% |
| Independent Living Systems | Medicare Advantage | $207.03 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $212.64 | ↓ -74% |
| Aetna | Medicare Advantage PCP | $228.59 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $232.28 | ↓ -72% |
| Avmed | Exchange | $260.18 | ↓ -68% |
| Avmed | Select | $270.19 | ↓ -67% |
| Multiplan | All Products | $276.53 | ↓ -66% |
| Cigna | Individual Family Plan Mid-Level | $277.09 | ↓ -66% |
| Cigna | Surefit Mid-Level | $282.39 | ↓ -66% |
| Avmed | Broad | $290.20 | ↓ -65% |
| Cigna | All Products Mid-Level | $304.95 | ↓ -63% |
| Cigna | Individual Family Plan Physician | $325.95 | ↓ -60% |
| Cigna | Surefit Physician | $332.22 | ↓ -60% |
| Cigna | All Products Physician | $358.76 | ↓ -56% |
| United | All Products | $378.68 | ↓ -54% |
| The Legacy Companies | All Products | $824.20 | ↑ +0% |
| Clarity Health | All Products | $824.20 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $951.00 | ↑ +15% |
| Aetna | All Products First Health | $1,141.20 | ↑ +38% |
| SUNSHINE HEALTH | Managed Medicaid | $1,947.28 | ↑ +136% |
| Simply | Managed Medicaid | $1,947.28 | ↑ +136% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $1,947.28 | ↑ +136% |
| AMERIHEALTH | Managed Medicaid | $2,005.70 | ↑ +143% |
| MOLINA | Florida KidCare | $2,044.64 | ↑ +148% |
| MOLINA | Managed Medicaid | $2,044.64 | ↑ +148% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,056.25 | ↑ +149% |
| UNITED | MEDICARE ADVANTAGE | $2,056.25 | ↑ +149% |
| HUMANA | Medicare Advantage HMO | $2,056.25 | ↑ +149% |
| BLUE CROSS | Medicare Advantage PPO | $2,056.25 | ↑ +149% |
| BLUE CROSS | Medicare Advantage HMO | $2,056.25 | ↑ +149% |
| AVMED | MEDICARE ADVANTAGE | $2,138.50 | ↑ +159% |
| Freedom Health | MEDICARE ADVANTAGE | $2,159.07 | ↑ +162% |
| Careplus | MEDICARE ADVANTAGE | $2,159.07 | ↑ +162% |
| Wellcare | MEDICARE ADVANTAGE | $2,182.94 | ↑ +165% |
| AETNA | MEDICARE ADVANTAGE | $2,182.94 | ↑ +165% |
| AETNA | Managed Medicaid/CHIP | $2,336.74 | ↑ +184% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,401.24 | ↑ +191% |
| AVMED | EXCHANGE | $3,598.44 | ↑ +337% |
| AVMED | Select | $6,065.95 | ↑ +636% |
| AVMED | BROAD | $7,916.58 | ↑ +861% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of urethra lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $7,901.51 – $8,067.86 |
| cleveland clinic florida weston hospital | Weston | $824.20 | $121.92 – $2,401.24 |
| indian river hospital | Vero Beach | $7,656.35 | $121.92 – $9,423.20 |
| Baptist Hospital | MIAMI | $5,851.95 | $173.17 – $8,102.70 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,073.80 – $3,643.33 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,182.94 – $4,846.13 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $2,073.80 – $4,662.55 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $4,846.13 |